高频超声对腹股沟肿块的诊断价值

Significance of high-frequency ultrasound in the diagnosis of inguinal mass

目的探讨高频超声对腹股沟肿块的诊断价值。方法对96例经高频超声及彩色多谱勒检查诊断并有手术或病理结果的腹股沟肿块病例进行回顾性分析。结果诊断腹股沟疝40例(其中可复性疝35例,嵌顿疝5例;符合病理共36例,符合率90.00%),鞘膜积液28例(其中精索鞘膜积液9例,睾丸精索鞘膜积液12例,交通性鞘膜积液7例;符合病理26例,符合率92.86%),隐睾(腹股沟型)16例(其中单侧隐睾14例,双侧隐睾2例,符合病理15例,符合率93.75%),腹股沟淋巴结肿大12例(其中良性6例,恶性淋巴瘤2例,淋巴结转移癌4例,符合病理共9例,符合率75.00%)。结论高频超声对腹股沟肿块中的腹股沟疝、鞘膜积液、隐睾(腹股沟型)诊断准确率高,对淋巴结的良恶性诊断准确率较高。

Objective Discussion on high-frequency ultrasound on the diagnosis of inguinal mass. Methods 96 patients with high frequency and color Doppler ultrasonic diagnosis and surgery or pathological results of the groin mass cases analyzed retrospectively. Results Inguinal hernia diagnosis of 40 cases （rehabilitation of the 35 cases of hernia, incarcerated hernia 5 cases; pathology with a total of 36 cases, the rate was 90.00%）, hydrocele 28 cases （of which spermatic hydrocele for 9 cases, testicular Spermatic hydrocele forl2 cases, traffic and hydrOcele for 7 cases, with 26 cases of pathology, the rate was 92.86%）, Cryptorchidism （groin-type） 16 cases （of which 14 cases of unilateral cryptorchid, bilateral cryptorchid 2 cases, with 15 cases of pathology, the rate was 93.75%）, inguinal lymph nodes in 12 cases （including 6 cases of benign and malignant lymphoma 2 cases, 4 cases of cancer metastasis, with a total of 9 cases of pathology, the rate was 75.00%）. Conclusions High-frequency ultrasound groin mass has a high rate of accurate diagnosis in the inguinal hernia, hydrocele, cryptorchidism （groin-type）, and higher accuracy rate in the diagnostic of benign and malignant lymph nodes.